<!DOCTYPE HTML>
<html>
<head>
    <include file="Common:header_include"/>
    <title>添加医患</title>
</head>
<body>
<div class="pd-20">
    <form action="{:U('add')}" method="post" class="form form-horizontal" id="form">
        <div class="row cl">
            <label class="form-label col-3"><span class="c-red">*</span>检查单ID：</label>
            <div class="formControls col-5">
                <span class="select-box">
                <select class="select Validform_error" size="1" name="medicalid" datatype="*" nullmsg="请选择">
                    <option value="" selected="" disabled="disabled">请选择</option>
                    <volist name=":getList(inspectioninfo)" id="v">
                        <option value="{$v.id}">{$v.name}</option>
                    </volist>
                </select>
                </span>
            </div>
            <div class="col-4"></div>
        </div>
        <div class="row cl">
            <label class="form-label col-3"><span class="c-red">*</span>检查项ID：</label>
            <div class="formControls col-5">
                <span class="select-box">
                <select class="select Validform_error" size="1" name="itemid" datatype="*" nullmsg="请选择">
                    <option value="" selected="" disabled="disabled">请选择</option>
                    <volist name=":getList(inspectioniteminfo)" id="v">
                        <option value="{$v.id}">{$v.name}</option>
                    </volist>
                </select>
                </span>
            </div>
            <div class="col-4"></div>
        </div>
        <div class="row cl">
            <label class="form-label col-3"><span class="c-red"></span>检查项参考值：</label>
            <div class="formControls col-5">
                <input type="text" class="input-text" placeholder="请输入" name="refvalue">
            </div>
            <div class="col-4"></div>
        </div>        <div class="row cl">
            <label class="form-label col-3"><span class="c-red"></span>附加值的值：</label>
            <div class="formControls col-5">
                <input type="text" class="input-text" placeholder="请输入" name="attachvalue">
            </div>
            <div class="col-4"></div>
        </div>
        <div class="row cl">
            <div class="col-9 col-offset-3">
                <input class="btn btn-primary radius" type="submit" value="提交">
            </div>
        </div>
    </form>
</div>
<include file="Common:footer_include"/>
<script>

</script>
</body>
</html>